Individual
DR. ROGER RAICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 N MIDLAND AVE, NYACK HOSPITAL, NYACK, NY 10960-1912
(845) 348-2862
Mailing address
43 KENSICO DR, 2ND FLOOR, MOUNT KISCO, NY 10549-1009
(914) 666-8866
(914) 666-6777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
189329
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006424
GHI
NY
01
—
010189329NY01
ANTH
NY
05
—
01524758
—
NY
01
—
040426011772
BHP
NY
01
—
13319642703
1199
NY
01
—
189329
HIP
NY
01
—
2999503
CIGNA
NY
01
—
319915
MVP
NY
01
—
41687
GHI HMO
NY
01
—
4494737
AETNA
NY
01
—
NY6798
PHS
NY
Enumeration date
08/02/2005
Last updated
07/08/2007
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